South Dakota Medical Group Management Association

Fall Conference

sdmgma.org

Healthcare:What’s Next?

August 26-28, 2015Cedar Shore Resort, Oacoma, SD

Member-at-LargeTraci Matthew

Welcome to SDMGMA’s Fall Conference!What a beautiful place this is to wind down a summer and get ready for What’s Next in Healthcare? Our healthcare world has been ever changing these past few years and there are still so many known changes looming on the horizon. Then you add in the unknown changes and we sometimes do not know where to go for information or help. I know that I find great value in the educational offerings of our conferences, the information on the website, and the partnership with national MGMA that SDMGMA has to offer. But the greatest value comes from the contacts we make with other members and the sharing of questions, ideas, or even solutions we gain from each other.

The subjects covered this week include evolving issues that arise from using EHRs, from meaningful use to risk management and legal perspectives and on to the risks involved with Allied Health Professionals. Then there is ICD-10 and wondering if the country is really ready for this change. There is also a more light hearted approach to our business of healthcare with Candy Whirley that will help us to get through all of these changes with our wit still intact, we hope.

Did you know that Ann Roemen is our SD ACMPE Forum Representative as well as the MGMA Midwest Section Forum Rep? She has a lot of great information about becoming certified through ACMPE and study groups, so seek her out and find out more. Also, Mark Hatting is the SD MGMA Legislative Liaison and has already started to get information about possible issues that could come up in our state’s next legislative session.

Our vendors and sponsors help to make this conference affordable for our members as well as bringing a lot of fun to our gathering. Please stop by the vendor tables and thank them for their support as you learn more about their business. Our sponsors deserve a hardy thank you as well.

Lastly, make sure you attend the business meeting Friday morning to help elect and welcome our board members who will be serving you for the upcoming year. And most importantly – have fun while you are here, be it golfing, pontooning, sharing a smile or a lively conversation with your fellow members!!

Patty TlustosPresident, SDMGMA

PresidentPatty Tlustos

President ElectJustin Garry

Vice PresidentMegan Rogers

Secretary/TreasurerAndrew Langenfeld

Member-at-LargeRobyn Ewalt

ACMPE Forum RepresentativeAnn Roemen(ex-officio)

Immediate Past PresidentTim Braithwaite

BoardMembers

SDMGMA 2015 Third Party Payer DaySeptember 22, 2015Holiday Inn City CentreSioux Falls, SD

MGMA 2015 Annual ConferenceOctober 11-14, 2015Nashville, TN

SDMGMASpring 2016 ConferenceApril 27-29, 2016Holiday Inn City Centre Sioux Falls, SD

Coming Up

Legislative LiaisonMark Hatting(ex-officio)

www.sdmgma.org Like us on Facebook at www.facebook.com/sdmgma Follow us on Twitter @SDMGMA

Wednesday, August 26, 201511:00 am Golf at the Chamberlain Golf Course – West Highway 16

5:00 pm - 7:00 pm Registration and Vendor Set-Up

6:00 pm Opening Reception/Picnic – Tiki Deck weather permitting, otherwise pre-function area outside of Hale/Oacoma

Thursday, August 27, 20157:00 am - 8:00 am Breakfast, Registration, and Vendors Open

8:00 am - 8:15 am Welcome and Announcements PattyTlustos,SDMGMAPresident

8:15 am - 8:45 am “MGMA Midwest Section Update” DonaldStumpp,CEO,McLeanCountyOrthopedics

8:45 am - 9:45 am “EHR: Friend or Foe – A Risk Management and Legal Perspective” VeronicaBrattstrom,MS,CHTS-PW,SeniorRiskManagementConsultant, ProfessionalSolutionsInsuranceCompany MarkHaigh,ManagingPartner,Davenport,Evans,Hurwitz&Smith,LLP

9:45 am - 10:30 am Break with Vendors

10:30 am - 11:30 am “EHR Meaningful Use, Lessons Learned and Best Practices” DorieRosauer,RN,MBA,SeniorClinicalRiskManagementConsultant,MedicalProtective

11:30 am - 12:30 pm Lunch with Vendors

12:30 pm - 1:30 pm “ICD-10: What You’d Really Like to Know!“ BJDvorak,President,eProviderSolutions

1:30 pm - 2:15 pm Break (with snacks & vendors)

2:15 pm - 3:45 pm “It Takes 4 to Tango” CandyWhirley,MotivationalKeynoteSpeaker/Leadership&TeamBuildingExpert

4:30 pm Pontoon Rides

6:30 pm - 7:00 pm Social

7:00 pm - 9:00 pm Banquet (with prize drawings)

9:00 pm Dancing with DJ

1:00 am Good Night!

Friday, August 28, 20157:30 am - 8:00 am Breakfast/Vendors Open

8:00 am - 8:30 am Annual Business Meeting

8:30 am - 8:45 am “ACMPE Update” AnnRoemen,MBA,CMPE,SouthDakotaACMPEForumRepresentative

8:45 am - 9:45 am “Allied Healthcare Professionals – What’s the Risk?” MarkHakim,MA,MBA,CPHRM,Director,RiskResource,ProAssuranceCompanies

9:45 am - 10:15 am Break

10:15 am - 11:45 am “Generational Differences – Bridging the Gap” CandyWhirley,MotivationalKeynoteSpeaker/Leadership&TeamBuildingExpert

11:45 am Evaluations & Final Prize Drawing

SDMGMA 2015 Third Party Payer DaySeptember 22, 2015Holiday Inn City CentreSioux Falls, SD

MGMA 2015 Annual ConferenceOctober 11-14, 2015Nashville, TN

SDMGMASpring 2016 ConferenceApril 27-29, 2016Holiday Inn City Centre Sioux Falls, SD

Agenda

See you at the Holiday Inn City Centre in downtown Sioux Falls, April 27-29, 2016, for the SDMGMA Spring Conference!

Like us on Facebook at www.facebook.com/sdmgma Follow us on Twitter @SDMGMA

Donald StumppCEO, McLean County Orthopedics

Don is the CEO for McLean County Orthopedics (MCO), a nine physician group practice in Bloomington, Illinois. MCO started as a single practice 40 years ago and next year will be moving to a new $15 million facility. MCO utilizes the Athena clinical and billing system.

A graduate of Ball State University, Don has over 30 years of healthcare financial experience as a CFO at a rural hospital, an independent lab and an occupational medicine clinic. He recently was the manager of payer contracting at a 200 provider medical group. He is an

avid Indiana Pacer fan and frequently tweets about healthcare interests. You can follow him on Twitter at @donaldstumpp. Don has served as chair of the Payer Contracting Society of MGMA and as president of the Indiana MGMA, and is currently serving on the Midwest Section Leadership team.

Don will review MGMA’s strategy for supporting the growth of the state affiliates. In addition, the structure of the section leadership will change in the new year beginning after the Annual Conference in October in Nashville.

Thursday, 8:15 am – 8:45 am: MGMA Midwest Section Update

By the end of the presentation, attendees will be able to:• Understand MGMA’s vision for state and national collaboration.• Understand the benefits available to MGMA members.• Understand the structure changes for the Midwest Section

Leadership Team.

Veronica Brattstrom, MS, CHTS-PW Senior Risk Management Consultant, Professional Solutions Insurance Company

A native of Chicago, Illinois, M. Veronica Brattstrom received her bachelor’s degree from the University of Illinois at Chicago and her master’s degree from the University of Illinois at Champaign. Veronica is a licensed property/casualty agent and received her CHTS-PW certification in 2012, which she actively uses to assist physician practices with electronic health records (EHR) workflow analysis. Veronica has more than 15 years of experience providing risk management consulting services to healthcare professionals. Throughout her career, she has worked with individual

physicians and large clinic groups enhancing risk management compliance among clinic administrators, office managers and physicians. Veronica, a skilled facilitator, has presented several risk management seminars covering malpractice topics pertinent to physicians and their staff.

With a passion for helping physician practices improve the quality of medical records and increase the consistently in the use of electronic health records (EHRs), Veronica uses actual case studies highlighting the impact of metadata, audit trails, information errors, prompts and alerts on malpractice claims and brings to light what the reader of your EHR might see.

Mark HaighManaging Partner, Davenport, Evans, Hurwitz & Smith, LLP

Mark Haigh, a native South Dakotan, received his bachelor’s degree in economics and political science from the University of South Dakota. He graduated magna cum laude from the University of Minnesota Law School and served as a law clerk to the chief judge for the Federal District of South Dakota from 1990 to 1991. Mark is currently a partner at Davenport, Evans, Hurwitz and Smith, LLP in Sioux Falls.

Mark’s practice is primarily devoted to health care law

including the defense of medical malpractice cases and the representation of medical practitioners before administrative boards and licensing agencies. He also has experience trying cases involving traumatic brain injury, products liability, catastrophic motor vehicle and trucking accidents and premises liability. Mark has tried over 40 jury trials to verdict and was named by Best Lawyers in America as a Sioux Falls Lawyer of the year in 2013, 2014, and 2015, including Sioux Falls medical malpractice lawyer of the year in 2014.

Thursday, 8:45 am – 9:45 am: EHR: Friend or Foe—A Risk Management and Legal Perspective

By the end of the presentation, attendees will be able to address concerns and cases related to:

• Metadata• Prompts and alerts• Information/data entry errors• Do’s and don’ts

Dorie Rosauer, RN, MBASenior Clinical Risk Management Consultant, Medical Protective

Dorie Rosauer, RN, MBA, senior risk management consultant, has more than 30 years of experience in the healthcare industry and has achieved an understanding of the challenges and opportunities facing both clinicians and hospitals. During her career, she has worked as a staff nurse, nurse manager and nursing supervisor. Additionally, Dorie has managed the day-to-day organizational operations of quality, risk management, infection control, safety, self-insured retentions and physician professional liability. During her recent years as a consultant, Dorie’s focus has

been on identification and implementation of cutting edge proactive clinical risk reduction strategies.

Dorie is a registered nurse in Illinois and earned her MBA from St. Ambrose University, Davenport, Iowa. She is a member of the American Society for Healthcare Risk Management as well as the Wisconsin chapter of that organization. She is past president of the Illinois Society of Risk Management.

Thursday, 10:30 am – 11:30 am: EHR, Meaningful Use, Lessons Learned and Best Practices

By the end of the presentation, attendees will be able to:• Discuss current compliance initiatives for meaningful use.• Identify tools and best practices to support meaningful use

requirements.• Implement at least one best practice strategy into everyday practice.

BJ DvorakPresident, eProvider Solutions

BJ Dvorak, president and co-founder of eProvider Solutions, started in the Clearinghouse business helping local and regional payers become electronic, including South Dakota and Nebraska Medicaid, South Dakota Blue Cross Blue Shield, DAKOTACARE, TLC, Sioux Valley Health Plan (now Sanford Health Plan) and Health Partners. eProvider Solutions has clients ranging from one-provider offices to large health systems across the country and was key in helping state Medicaid programs and other payers meet the 5010 requirements by converting claims from

the 4010 to 5010. eProvider Solutions has helped not only payers, but large healthcare organizations prepare for ICD-10.

BJ serves on multiple healthcare boards and is involved in many organizations including hospital, long-term care, urgent care, service bureaus and health information organizations. BJ has also been a guest speaker at several local and national conferences.

BJ is the current past president of SDHIMSS, the SDHIMSS Sponsorship chair, SDHIMSS Program Committee and on the HFMA board as a newsletter chair. Her commitment to the healthcare industry has made her a well-respected, successful leader and a driving force in a constantly changing environment.

Speakers

Thursday, 12:30 – 1:30 pm: ICD-10: What You’d Really Like to Know!

By the end of the presentation, attendees will be able to:• Understand the truth about the payer testing requirements.• Learn the truth about the test results.• Understand the truth about the line by line comparison of the EOB

from I9 to I10.• Learn what you need to do in the little time you have left.

Candy WhirleyMotivational Keynote Speaker/Leadership & Team Building Expert

From the Hawaiian Islands to London, England, Candy Whirley is famous for her high energy enthusiasm, innovative training activities and contagious sense of humor. She is a dynamic speaker dedicated to sharing over 20 years of her expertise to help professionals improve their job performance and achieve their personal goals.

Candy is most known for her interactive keynotes and breakout sessions, whether the request is team building, relationships or leadership skills, her clients

know the audiences will be interactive, energized and entertained!

Thursday, 2:15 pm – 3:45 pm: It Takes 4 to Tango

In It Takes 4 To Tango, Candy has two meanings when it comes to her “4.” The first meaning she will take you through her four C’s of leadership which are confidence, communication, creativity and change in the workplace, the second meaning you will go on a brilliant exploration of personality styles that will make you think, laugh, even dance, and recognize your true self and others. Candy gets participants up and out of their seats and networking with others. This is an open and honest way for all personalities to hear from one another about how to communicate better. You’ll also learn to overcome personality differences that lead to problems such as communication breakdown, negotiation letdown, and delegation fall-down by learning the secrets to connecting and partnering with other personality styles.

By the end of the presentation, attendees will be able to:• Understand filters (your brain tape recorder) and be more confident

about who you are as a leader.• Understand how negative behaviors can sabotage you.• Learn four easy communication steps to giving feedback – the good,

the bad and the ugly.• Cultivate creative problem-solving techniques like brainstorming 26

new ideas in two minutes.• Learn to stop treating people like you want to be treated and treat

them like they want to be treated.• Leave with a changed attitude by understanding that people are not

difficult, they are just different.

Friday, 10:15 am – 11:45 am: Generational Differences – Bridging the Gap

Managing genders, generations and genetics! This interactive, energetic and entertaining presentation will enable participants to recruit and manage top candidates by learning the differences between generations X, Y, Boomers, and Matures, and their work habits and goals. Candy will also share her knowledge of gender differences in order to help participants understand that there is truly a difference in communication and conflict management between the genders. Those who have experienced Candy know this presentation would not be the same without one of her famous activities! Put on your hardhats; you will be building a bridge!

The genetics portion of the presentation will expose the four personality styles and how each personality contributes to the organization’s vision and goals. Bridge the gap by working as a cross-generational team and building a bridge…literally!

By the end of the presentation, attendees will be able to:• Learn which team member’s behavioral style works best with each

job position.• Learn how to keep performance high when morale is low during

changing times in an organization.• Understand how to motivate, communicate and negotiate with the

Baby Boomers to the Baby Z’s!• Understand five key ideas about each generation.• How do we keep the Generation Y’s from moving to the next job?

Ann Roemen, MBA, CMPESouth Dakota ACMPE Forum Representative, Midwest Section ACMPE Forum Coordinator

Ann Roemen has been the executive director of Independent Healthcare Associates in Sioux Falls for the past eight years. Prior to joining IHA, Ann was with University Physicians in Sioux Falls for 16 years where she held a number of positions from director of marketing and public relations to executive director. She earned her bachelor’s degree in speech communication from Southwest Minnesota State University and her master’s degree in business administration from the University of Sioux Falls. She holds the designation of certified medical practice

executive from the Medical Group Management Association. Ann is currently serving on the ACMPE Advancement Committee as forum coordinator for the Midwest Section of MGMA and serves as an ex-officio member of the Midwest Section Leadership Team. She also serves as the ACMPE forum representative for SDMGMA and is an ex-officio member of the SDMGMA board.

Friday, 8:30 am – 8:45 am: ACMPE Update

By the end of the presentation, attendees will be able to:• Understand the process for becoming a certified medical practice

executive.• Be aware of online resources and the opportunities to participate in

online study groups.• Know about the opportunity for free national MGMA membership.• Be informed of the paper options for fellowship.

Mark Hakim, MA, MBA, CPHRMDirector, Risk Resource, ProAssurance Companies

Mark Hakim, BS, MA, MBA, CPHRM, director, risk resource, received his bachelor’s degree in medical technology and master’s degree in exercise physiology from Michigan State University. He obtained an MBA from the University of Detroit Mercy. Mark has an extensive clinical and hospital managerial background, including exercise physiologist in cardiology services, manager of cardiology services, and director of occupational and employee health services at hospitals in southeastern Michigan. He has served in leadership roles with the Michigan Society of

Healthcare Risk Management and is a certified professional in health care risk management. He is also a graduate of the Patient Safety Leadership Fellowship sponsored by the Health Research & Educational Trust. Mark joined the ProAssurance Group companies in 2002.

Friday, 8:45 am – 9:45 am: Allied Healthcare Professionals – What’s the Risk?

By the end of the presentation, attendees will be able to:• Know prevalence of allied healthcare professionals (AHPs) (how

many, why, etc.).• Understand AHP scope of practice, South Dakota state statutes

specific to AHPs.• Have knowledge of AHPs and lawsuits (claims data allegations, etc.).• Participate in case study review with discussion.• Be informed of the risk mitigation strategies when collaborating,

supervising, and employing AHPs.

AccommodationsCedar Shore Resort1500 Shoreline Dr., Oacoma, SD 57365Reservations: 1-888-697-6363 or 605-734-6376

Room Rates: Single/Double Occupancy - $85.95 plus taxesMention SD Medical Group Managers block of roomsBlock of rooms held until July 26, 2015

Overflow Hotel: Oasis Inn, 605-734-6061

Directions Cedar Shore ResortOff 1-90 take Exit 260 at Oacoma. Turn right at the yellow flashing light and go 2 miles east. You will see the sign directing you one mile north on Shoreline Drive.

Chamberlain Golf CourseThe Chamberlain Golf Course is located on West Highway 16. From Cedar Shores, go west on Highway 16 until you reach the golf course approximately 2 miles.

AttractionsVisit www.Chamberlainsd.org for a list of attractions in Chamberlain including Akta Lakota Museum & Cultural Center, Lewis & Clark Interpretative Center, SD Hall of Fame along with other outdoor activities available. Cedar Shore Resort is a premier hotel and convention center on the banks of the Missouri River offering all types of water recreation.

ACMPE Certification – elevate your career and set yourself apart from the crowd by becoming a board certified medical practice executive. ACMPE board certification is designed for individuals with at least two years of experience in healthcare management. The CMPE designation validates your expertise and brings greater recognition from physicians, executives, industry professionals, and peers. The following are SDMGMA members who are ACMPE certified:

Karen Barkl, CMPEBev Berg, CMPEDarin Berg, CMPEHeather Bindel, CMPECheryl Haines, CMPEMark Hatting, CMPEJohn Healy, CMPEScott Lunzman, CMPEJudy Nelson, CMPEAnn Roemen, CMPEPatricia Tlustos, CMPE

Fellowship – is the highest level of distinction you can earn in the medical practice management profession. This is the next step after achieving certification. Join others who are dedicated to making a difference and creating best practices in the healthcare industry. SDMGMA Fellows are:

Edward Arshem, FACMPE (Life)Justin Garry, FACMPEKathy Haberling, FACMPEBrian McAlpin, FACMPEDarrel Riddle, FACMPE

Nominee – this is the first step toward certification. To become a nominee to the national board certification program you must be a member of MGMA-ACMPE and have at least two years of healthcare management experience, including six months in a supervisory role. SDMGMA nominees are:

Stan GebhartStacy HarmelinkCynthia JacobsTraci MatthewDigna Miller

To learn more about becoming a nominee, certified member, or fellow, please talk to Ann Roemen, ACMPE forum rep for South Dakota, by contacting her at (605) 444-8672 or Ann.Roemen@independentcare.org.

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